Kev Siv Augmentin EU Hmoov

Tsis muaj leej twg tiv thaiv kab mob los ntawm cov kab mob sib kis. Cov me nyuam tsis taus lub cev yooj yim tshwj xeeb tshaj yog. Txhawm rau kho cov menyuam yaus txij thaum muaj hnub nyoog 3 hlis, kws kho mob feem ntau sau ntawv rau Augmentin EU. Nws yog cov tshuaj tiv thaiv muaj zog uas ua rau daim ntawv ntawm kev ncua. Txhawm rau cov menyuam yaus noj cov tshuaj no nrog kev zoo siab, cov neeg tsim khoom muab rau nws qab ntxiag nrog txiv hmab txiv ntoo.

Cov ntaub ntawv tseem ceeb txog cov tshuaj

"Augmentin EC" yog hmoov los ntawm qhov kev ncua ntawv yog npaj rau kev tswj hwm qhov ncauj. Cov tshuaj tau ntim hauv hwj, cov ntsiab lus ntawm uas txaus los npaj 100 ml ntawm yeeb tshuaj. Qhov ntau npaum li cas ntawm cov tshuaj nquag (amoxicillin) yog 600 mg. Raws li cov tshuaj muaj txiaj ntsig, clavulanic acid nyob rau hauv tus nqi ntawm 42.9 mg, silicon dioxide, sodium carboxide, asparcum, xanthan ntawm cov pos hniav, nrog rau cov pos nphuab tsw, uas ua rau siv cov tshuaj rau cov menyuam yaus, kev ua.

Cov khoom yooj yim

Augmentin EU yog qhov tshuaj tua kab mob ntau-spectrum uas yog semi-hluavtaws. Amoxicillin cov khoom pov thawj nce kev ua haujlwm tawm tsam ntau cov pathogens. Txawm li cas los xij, nws nkag siab rau beta-lactamase thiab raug rhuav tshem los ntawm nws cov cawv. Yog li, amoxicillin yog qhov tsis muaj txiaj ntsig hauv kev tawm tsam cov kab mob me me uas tsim cov enzyme no.

Clavulanic acid yog pom los ntawm tus qauv uas zoo ib yam li penicillin. Qhov no ua rau muaj kev tshaj tawm cov haujlwm tawm tsam beta-lactamases, uas feem ntau ua rau kev txhim kho ntawm cov tshuaj tiv thaiv kev tawm tsam. Yog li, muaj cov kua qaub no nyob rau hauv kev sib xyaw ntawm cov tshuaj "Augmentin EU" tiv thaiv lub ntsiab tiv thaiv los ntawm kev puas tsuaj nyob rau hauv tus ntawm ntau yam enzymes thiab nthuav cov spectrum ntawm nws cov kev ua. Yog li, txawm tias cov kab mob uas feem ntau tiv taus amoxicillin tuag nyob hauv qab ntawm cov tshuaj no.

Nws tuaj yeem hais tias Augmentin EC (raug tshem tawm) tso tawm cov khoom tsis yog ntawm cov tshuaj tua kab mob, tab sis kuj yog ib qho beta-lactamase inhibitor. Cov kab mob bactericidal ntawm qhov sib txawv ntawm cov kab mob me me ua rau cov tshuaj no tshwj xeeb zoo. Nws yog tsim nyog sau cia tias ob qho amoxicillin thiab clavulanic acid yog tus cwj pwm ntawm cov neeg tsis muaj kev khi ntawm cov ntshav protein. Yog li, ntau dua 70% ntawm cov tshuaj nquag tseem nyob hauv ntshav tsis hloov.

Lub cim tseem ceeb

Cov kws kho mob twb tau tswj hwm qhov ntsuas tau txiaj ntsig ntawm ib yam tshuaj xws li Augmentin EU (raug muab tshem tawm). Nws yog tshuaj rau cov neeg mob uas tau kuaj pom muaj cov teeb meem nram qab no:

  • cov kab mob ntawm cov kab mob ua pa sab saud, nrog rau pob ntseg, lub qhov ntswg thiab caj pas (cov kab mob me me yuav tsum tsis muaj kev tawm tsam cov tshuaj tiv thaiv ntawm cov tshuaj tua kab mob hauv nqe lus nug),
  • cov tawm tsam otitis uas pheej tso tawm lossis rov ua dua tshiab (raws li txoj cai, cov tshuaj no tau raug sau tseg rau cov menyuam yaus yog tias lwm yam tshuaj tua kab mob ua tsis tau zoo),
  • sinusitis thiab tonsillopharyngitis,
  • lobar, bronchopneumonic thiab lwm yam mob ntawm qis qis ua pa,
  • kis kab mob ntawm daim tawv nqaij, nrog rau kev ua rau cov nqaij mos.

Cov Yuav Tsum Muaj

Hmoov tsis zoo, tsis yog txhua tus tuaj yeem noj tshuaj xws li Augmentin EC (raug tshem tawm rau menyuam yaus). Cov kev qhia muaj cov ntaub ntawv hais txog cov ntsiab lus hauv qab no:

  • muaj qhov tsis haum rau kev cuam tshuam ntawm cov tshuaj, uas tuaj yeem kuaj pom nyob hauv chav kuaj mob,
  • muaj cov jaundice,
  • hepatic kawg, uas tshwm sim los ntawm kev txais tos ntawm "Augmentin" yav dhau los.

Cov tshuaj "Augmentin EU": cov lus qhia rau kev siv rau menyuam yaus

Txhawm rau cov tshuaj kom muaj qhov xav tau ntawm lub cev, nws yog ib qho tseem ceeb kom noj nws kom raug, soj ntsuam cov sijhawm thiab qhov ntau npaum li cas. Augmentin EC (kev tshem tawm rau cov menyuam yaus) feem ntau coj hauv 10 hnub. Hauv qhov no, cov tshuaj yuav tsum nqos ib hnub ob zaug, nrog lub sijhawm nrog 12 teev.

Nws tsim nyog sau cia tias cov tshuaj no raug tso cai muab rau cov menyuam yaus hnub nyoog qis dua 3 hlis. Ntxiv mus, kev tshawb fawb soj ntsuam tau lees paub qhov ua tau zoo ntawm cov tshuaj hauv kev kho mob ntawm cov neeg mob uas lub cev tsis nyhav tshaj 36 kg. Rau cov menyuam yaus hnyav dua 40 kg, nrog rau cov laus, cov kev sim tau tsis nqa, thiab vim li ntawd nws tsis tuaj yeem tham txog nws qhov ua tau zoo.

Ua raws li tus menyuam lub cev qhov hnyav, qhov noj Augmentin EC-600 yog txiav txim siab (tshem tawm rau menyuam yaus). Qhov ntau npaum no yog raws li nram no:

Lub cev qhov hnyav ntawm tus menyuam (kg)812162024283236
Ib koob tshuaj ntawm kev ncua (ml)34,567,5910,51213,5

Nws tsim nyog sau cia tias qhov ntau npaum no tsuas siv tau rau cov tshuaj hauv nqe lus nug. Augmentin EC (raug tshem tawm rau cov menyuam yaus) yog tus yam ntxwv tsis xws luag ntawm cov kev ua haujlwm thiab kev pabcuam tsis zoo uas tsis muaj tus yam ntxwv ntawm lwm hom Augmentin.

Yuav ua li cas kom txo qis cov txiaj ntsig tsis zoo ntawm lub plab?

Tshuaj tua kab mob Augmentin EU-600, zoo li lwm cov khoom lag luam zoo sib xws, muaj qhov tsis zoo rau lub plab thiab lub plab zom mov tag nrho. Txo cov teebmeem ua rau muaj kev phom sij, nws raug nquahu kom rho tawm lub sijhawm noj mov (qhov zoo tshaj thaum pib noj mov). Hom kev siv no tsis tsuas yog muab kev tiv thaiv ntawm lub phab ntsa ntawm lub plab, tab sis kuj tseem pab txhawb rau kev pom zoo ntawm cov khoom siv.

Txoj kev ncua kev kawm ntawv npaj li cas?

Hauv daim ntawv ntawm hmoov, uas muaj nyob hauv lub raj mis me me, nws nkag mus rau hauv lub khw muag tshuaj saw Augmentin EU-600. Tig lub hmoov rau hauv kev kho kom zoo tsis yog qhov nyuaj. Kev rau txim rau menyuam yaus yog npaj raws li hauv qab no:

  1. Hauv lub raj mis nrog lub hmoov nrog lub peev xwm ntawm 100 ml, koj yuav tsum ntxiv 90 ml dej (koj yuav tsum ua qhov no hauv ob kis).
  2. Ua ntej koj yuav tsum nkag mus txog li 2/3 ntawm tag nrho cov kua ntim, yog li cov hmoov ua kom tiav nrog dej.
  3. Lub raj mis yuav tsum tau kaw nrog lub hau thiab co kom huv si kom nqa cov ncauj lus ntawm lub ntim rau hauv lub xeev tsis sib xws.
  4. Ntxiv cov dej ntxiv ntawm cov dej uas yuav tsum muaj (them sai sai rau lub cim ntawm lub raj mis) thiab co zoo dua.
  5. Tawm hauv lub vial uas ntim nrog rau kev ncua nyob rau 5 feeb, kom txhua yam ntawm cov tshuaj cuam tshuam nrog (cov txheej txheem tawg).
  6. Yog tias koj tau ua txhua yam raws li qhov yog, koj yuav tsum tau txais ib qho kua dej dawb uas muaj ib qho zas los yog daj.

Muaj kev phiv ntau

Zoo ib yam li lwm yam tshuaj tua kab mob, nws ua rau muaj qee qhov kev cuam tshuam ntawm Augmentin EC-600 (raug tshem tawm rau menyuam yaus). Phau ntawv qhia muaj cov lus qhia txog cov teeb meem tshwm sim nram qab no:

Rov qab mob leukopenia lossis neutropenia, hemolytic anemia, agranulocytosis, thrombocytopenia, ntshav ncua ntev.

FeemCov kev xav tsis zoo
Kab mobKev cuam tshuam ntawm daim tawv nqaij thiab hnoos qeev nrog mob candidiasis.
Kev kaw lus hauv lub cev
Kev tiv thaiv kab mobAngioedema, mob ntshav dej tsis haum (lossis cov xwm txheej zoo ib yam li nws), vasculitis, anaphylaxis.
Kev tswj hwm leegKiv taub hau, mob taub hau, nriaj (tej zaum yuav yog los ntawm kev pom zoo ntau dua cov koob tshuaj pom zoo lossis lub raum tsis ua haujlwm), kev ua haujlwm yoog.
Lub plab zom movCov quav tsis haum, xeev siab thiab ntuav (tej zaum yuav ua los ntawm kev noj ntau dhau los yog tsis noj thaum pib noj mov, mob plab, mob plab (muaj cov tshuaj tua kab mob, pseudomembranous, hemorrhagic), tshem tawm ntawm tus hniav txha hniav laus (qhov kev phiv no tuaj yeem tshem tawm los ntawm kev txhim kho kev nyiam huv) qhov ncauj kab noj hniav).
Mob siab thiab mob txeeb zigKev nce qib ntawm AST thiab ALT, mob sib daj sib deev txhaws qa lossis mob siab (ib qho kev phiv tshuaj rau txhua yam tshuaj tua kab mob penicillin), teeb meem mob siab (feem ntau tsis pom nyob hauv menyuam yaus, thiab tus txiv neej laus thiab poj niam yog cov muaj pheej hmoo).
Daim tawv nqaij integumentKev ua xua ua pob khaus, urticaria, pruritus, erythema, Stevens-Johnson syndrome, epidermal necrolysis ntawm cov khoom lom, ua rau lub cev ua paug, mob ua paug pustulosis. Yog tias muaj qhov tshwm sim tsis zoo los ntawm daim tawv nqaij, kho nrog cov tshuaj no yuav tsum tsis ua mus ntxiv.
Mob raum thiab mob txeeb zigJade interstitial, crystalluria.

Nws tsim nyog teev tias muaj ntau cov kev mob tshwm sim tom qab qhov kawg ntawm kev noj tshuaj Augmentin EU-600. Cov lus qhia rau kev siv muaj cov ntaub ntawv uas pom thawj zaug yuav tshwm sim txawm tias ob peb lub lis piam tom qab tshem tawm.

Noj ntau dhau

Nws yog ib qho tsim nyog kom ua raws nraim li cov lus qhia thaum noj tshuaj "Augmentin EU" (kev ncua). Cov koob tshuaj rau cov menyuam yuav tsum muaj kev saib xyuas nruj kom thiaj li zam dhau qhov kev txhaum tsis zoo. Yog tias tus menyuam tau noj tshuaj ntau dua li tau hais tseg, tej zaum yuav mob plab, nrog rau lub cev qhuav dej. Hauv qhov no, koj yuav tsum tsum tsis txhob noj cov tshuaj thiab mus rau cov kev mob tshwm sim, them nyiaj tshwj xeeb rau kev kho kom rov muaj dej tshuav nyiaj. Hauv qee kis, kev siv tshuaj ntau dhau nrog nrog crystalluria. Tom qab ntawd tus kws kho mob yuav txiav txim siab txog kev siv tshuaj kho mob (hemodialysis) kom tshem tawm cov tshuaj ntawm cov ntshav.

Cov yam ntxwv ntawm kev siv tshuaj

Cov kws kho mob hauv kev kho mob ntawm cov menyuam yaus nrog cov tshuaj tua kab mob Augmentin EU muaj ntau qhov kev paub dhau los. Cov kev qhia muaj ntau cov lus qhia tseem ceeb hais txog kev tswj hwm tshuaj zoo. Txawm li cas los xij, muab cov txiaj ntsig hloov nruj, peb tuaj yeem tham txog qee qhov tshwj xeeb uas nrog cov txheej txheem kev kho. Yog li, peb tab tom tham txog cov hauv qab no:

  • Ua ntej koj pib noj cov tshuaj, koj yuav tsum yauv mus soj ntsuam tag nrho kev kho mob txhawm rau txhawm rau txheeb xyuas qhov ua xua lossis cov neeg tsis haum rau ib qho tshuaj ntawm cov tshuaj.
  • Yog tias yav dhau los tus neeg mob tau muaj kev tsis zoo rau penicillin, ces Augmentin yuav tsum tsis txhob siv. Qhov no tuaj yeem ua rau lub siab txias, uas feem ntau ua rau tuag.
  • Yog tias muaj qhov tsis haum tshwm sim, qhov txais tos ntawm "Augmentin" yuav tsum nres tam sim ntawd. Qhov no yuav tsum tau taug nrog kev mus ntsib tus kws kho mob uas yuav sau tshuaj kho kev mob tshwm sim thiab lwm txoj kev kho ntxiv.
  • Yog tias muaj qhov tsis haum tshuaj tshwm sim, kev kho mob ceev nrog adrenaline feem ntau xav tau. Tsis tas li ntawd, kev kho mob oxygen tuaj yeem kho tau, ntxiv rau kev tswj hwm cov tshuaj steroid thiab kev ua kom lub zog txhawm rau tswj kev ua pa.
  • Yog tias tsam mob mononucleosis yog xav tias tsam mob, kev kho nrog Augmentin yog nruj me ntsis contraindicated. Txwv tsis pub, muaj qhov tshwm sim ntawm cov pob khaus uas zoo li ua qoob.
  • Siv sijhawm ntev siv cov tshuaj tuaj yeem ua rau kev ua haujlwm ntawm cov kab mob me me uas tsis txaus ntseeg rau Augmentin EU.
  • Feem ntau, cov tshuaj tau zoo tiv thaiv los ntawm cov neeg mob, vim tias nws muaj qhov ntsuas tsis tshua muaj tshuaj lom. Txawm li cas los xij, nrog kev siv lub sijhawm ntev, kev saib xyuas lub siab thiab lub raum ua haujlwm yog qhov tsim nyog.
  • Qee zaum, muaj teeb meem nrog cov ntshav ncig thiab cov ntshav txhaws. Kev saib xyuas tshwj xeeb yog qhov yuav tsum tau ua rau tus neeg mob lub sijhawm thaum noj cov tshuaj anticoagulants nyob rau hauv parallel.
  • Rau cov neeg mob kuaj mob lub siab ua haujlwm, Augmentin EC yuav tsum tau ceev faj heev thiab nyob rau hauv kev saib xyuas tas li los ntawm kws kho mob.
  • Hauv cov neeg mob uas lub raum tsis ua hauj lwm, qhov ntau dua yuav tsum tau kho raws li kev ntsuas zoo thiab ntsuas ntsuas.
  • Thaum siv cov tshuaj hauv cov neeg mob txo qis tso zis tso quav, crystalluria yuav tshwm sim. Txo qhov ua rau pom qhov tsawg kawg ntawm qhov kev tshwm sim, nws yog qhov yuav tsum tau soj ntsuam kom sib npaug ntawm cov kua dej thiab tso zis tawm ntawm lub cev.
  • Muab hais tias asparkum yog ib feem ntawm cov tshuaj hauv nqe lus nug, nws yuav tsum tau siv nrog ceev faj hauv cov neeg mob uas kuaj pom muaj phenylketonuria.
  • Hauv chav kawm ntawm kev tshawb nrhiav thiab sim, tsis muaj kev cuam tshuam zoo rau lub peev xwm ntawm cov neeg mob tsav tsheb thiab lwm yam txheej txheem tau qhia. Hauv txoj ntsiab cai, qhov ntsuas no tsis tuaj yeem suav tias yog qhov tseem ceeb, vim tias qhov kev ncua ntawv yog hais tsuas yog ua rau cov menyuam yaus.

Yeeb tshuaj sib cuam tshuam

Rau cov neeg mob noj Augmentin EU, cov lus qhia rau kev siv tsim qee qhov kev txwv rau kev siv tib lub sijhawm siv qee cov tshuaj. Yog li, cov tib neeg siv "Probenecid", uas txo cov raum zais cia ntawm amoxicillin, tsis pom zoo. Kev siv sij hawm ntev ib txhij yuav ua rau muaj kev nce ntxiv ntawm theem ntawm amoxicillin hauv cov ntshav, tab sis tsis cuam tshuam rau qhov concentration ntawm clavulanic acid.

Kev siv "Allopurinol" ib txhij coj mus rau qhov nce ntxiv ntawm kev muaj peev xwm ua xua (tshwj xeeb yog tawv nqaij). Tsis muaj kev tshawb nrhiav ntau ntawm cov teeb meem no tau raug ua tiav. Tsis tas li, mus koom nrog cov kws kho mob yuav tsum ceeb toom lawv cov neeg mob tias Augmentin, zoo ib yam li lwm yam tshuaj tua kab mob, txo cov txiaj ntsig ntawm kev tiv thaiv qhov ncauj. Tab sis rau cov cuab yeej tau piav qhia hauv kab lus, cov ntaub ntawv no tsis tshua muaj teeb meem.

Txais tos thaum cev xeeb tub thiab lactation

Kev tshawb fawb hauv cov tsiaj tseem tsis tau qhia tawm cov teebmeem teratogenic. Yog li, qhov kev pheej hmoo ntawm kev tsis ua haujlwm ntawm lub cev thaum yug los ntawm Augmentin tsis nce ntxiv (piv nrog rau lwm cov tshuaj tua kab mob). Raws li kev coj ua tiag tiag ntawm cov tshuaj no los ntawm cov poj niam cev xeeb tub, muaj qhov nce siab ntawm necrotizing enterocolitis hauv cov menyuam mos. Yog li, thaum lub sijhawm ua poj niam cev xeeb tub, nws zoo dua uas yuav tsum tsis txhob siv cov tshuaj no, tshwj tsis yog lub txiaj ntsig xav tias yuav tsis tshaj qhov kev pheej hmoo.

Kev hais lus txog lub sijhawm lactation, nws tsim nyog sau cia tias cov tshuaj nquag ua haujlwm yog tawm hauv niam cov kua mis. Tsis muaj pov thawj qhia txog qhov tsis zoo ntawm cov tshuaj no ntawm kev txhim kho menyuam yaus uas pub niam mis. Txawm li cas los xij, nws yuav ua rau tso quav thiab ua paug ntawm cov hnoos qeev. Yog li, yog tias tus kws kho mob txiav txim siab nws tsim nyog los tsa tus poj niam Augmentin, pub mis rau lub sijhawm no yuav tsum tsis ua mus ntxiv.

Yog tias vim li cas koj tsis tuaj yeem noj Augmentin EU, koj tuaj yeem xaiv ib qho ntawm ntau cov analogues uas muaj nyob rau ntawm kev ua lag luam. Yog li, raws li qhov kev txiav txim, cov tshuaj no feem ntau zoo li:

  • "Abiklav" yog cov tshuaj tua kab mob ib nrab ntawm cov tshuaj raws li kev ua ntawm amoxicillin thiab potassium clavulanate. Ntau tus gram-positive thiab gram-negative anaerobes thiab lwm tus neeg nkag siab tau yooj yim. Cov tshuaj yog tawm rau cov kab mob sinusitis, otitis media, mob ntsws ntev hauv tus mob huam, cystitis, mob ntsws, mob rau ntawm daim tawv nqaij thiab cov nqaij mos, nrog rau cov pob txha thiab pob qij txha.
  • A-Klaw-Farmeks yog hmoov siv rau kev npaj cov tshuaj rau kev txhaj tshuaj rau txoj leeg ntshav. Cov tshuaj yog mus rau pawg ntawm cov tshuaj tua kab mob rau kev siv cov kab ke. Lub hauv paus ntawm cov tshuaj tua kab mob yog sib xyaw ntawm amoxicillin thiab potassium clavulanate. Cov tshuaj yeeb yaj kiab qhia tau tias muaj txiaj ntsig zoo hauv kev kho cov kab mob sib xyaw, kab mob ntawm cov kabmob ENT, nrog rau lwm yam kab mob.
  • "Betaclav" yog cov tshuaj tua kab mob rau kev siv kab mob hauv lub cev, uas suav nrog amoxicillin trihydrate thiab potassium clavulanate. Cov no yog cov ntsiav tshuaj me oval coated nrog ib zaj duab xis dawb txheej. Nov yog tus neeg sawv cev ua haujlwm ib nrab nrog hais tawm cov kev ua kom tua kab mob. Nws tseem muaj cov yam ntxwv ntawm beta-lactamase inhibitor, uas txiav txim siab cov kev ua ntawm cov kab mob sib kis ntau. Cov tshuaj yog tawm rau cov kab mob sinusitis, otitis media, mob ntsws ntev, mob ntsws, mob cystitis, nrog rau kev kis mob ntawm cov nqaij thiab pob txha.
  • Coact yog hmoov dawb ua tiav rau kev npaj qhov ncauj ncua. Tshuaj lom neeg muaj pes tsawg leeg yog ua raws amoxicillin thiab potassium clavulanate.Zoo li cov tshuaj dhau los, cov tshuaj no tau qhia rau cov kab mob ntawm cov kab mob ENT, kev ua kom mob ntsws, mob ntsws, mob ntsws, mob ntsws, thiab mob nqaij, pob txha thiab cov nqaij mos. Excipients ntawm cov tshuaj nthuav cov spectrum ntawm nws cov kev ua, ua kom muaj kev sib ntaus ntawm penicillin-resistant microorganisms.

Cov lus teb zoo

Yog tias koj tus kws kho mob tau sau Augmentin EU, kev tshuaj xyuas yuav pab koj kom paub koj tus kheej thiab txiav txim siab zaum kawg ntawm kev siv cov tshuaj no. Yog li, los ntawm cov lus pom zoo nws tsim nyog sau cia cov hauv qab no:

  • cov tshuaj sib txuas ob qho kev ua yeeb yam sib txawv uas muaj qhov sib txawv ntawm cov dej num los tiv thaiv kab mob,
  • qhov kev ncua yog npaj sai thiab yooj yim (tsuas ntxiv dej txias rhaub),
  • ceev nrooj copes nrog cov kab mob ua txoj
  • pob ntawv muaj cov ncauj lus kom ntxaws qhia los ntawm cov uas koj tuaj yeem tau txais cov ncauj lus qhia ntxaws ntsig txog tshuaj,
  • hauv cov khoom siv muaj ib rab diav, uas yooj yim los ntsuas qhov yuav tsum tau raug ncua,
  • cov tshuaj tsw tsw zoo ntawm cov txiv hmab txiv ntoo thiab txiv ntoo,
  • kev txhim kho yog feem ntau pom tom qab thawj hnub ntawm kev noj tshuaj (qhia tias nws tau xaiv tau raug).

Kev tshawb xyuas tsis zoo

Ntau qhov kev tawm tsam tuaj yeem hnov ​​txog cov tshuaj xws li Augmentin EC (raug tshem tawm rau menyuam yaus). Kev txheeb xyuas muaj xws li cov lus tsis zoo:

  • lub txee lub neej ntawm cov tshuaj yog 10 hnub, thiab yog li ntawd, yog tias koj tsis muaj sijhawm siv tag nrho cov kev ncua, koj yuav tsum pov cov seem
  • cov tshuaj tau muab cia rau hauv lub tub yees, thiab yog li ntawd, txhua zaus ua ntej noj nws, koj yuav tsum sov nws rau chav kub,
  • txawm hais tias nws muaj tsw zoo li txiv hmab txiv ntoo, qhov kev ncua ntawv tau saj zoo dua uas menyuam tsis nyiam,
  • thaum noj yeeb tshuaj, ntau cov menyuam yaus poob lawv qhov qab los noj mov, uas ua rau nws tsis yooj yim los siv ncua kev kawm nrog zaub mov,
  • yog tias koj tsis siv cov nyiaj los ua kom microflora ib txwm ua, tej zaum yuav muaj mob plab thiab tso quav,
  • nws nyuaj rau xam cov ntau npaum li cas, nyob ntawm lub hnub nyoog thiab lub cev qhov hnyav ntawm tus menyuam (zoo dua yog tias tus kws kho mob ua nws),
  • tus nqi siab, piv nrog lwm cov tshuaj zoo sib xws (li 400 rubles rau ib lam hwj).

Xaus

Coob tus neeg xav txog kev siv tshuaj tua kab mob tsis haum, vim tias lawv rhuav tshem tsis tsuas yog kab mob, tab sis kuj tseem muaj txiaj ntsig microflora ntawm lub cev. Txawm li cas los xij, txhawm rau tiv thaiv kev mob hnyav, cov kws tshaj lij sau ntawv rau Augmentin EU rau lawv cov neeg mob. Kev rau txim rau menyuam yaus, kev qhia siv rau cov uas muaj cov ntsiab lus txhua yam, muaj cov lus tshaj tawm. Txawm hais tias muaj ntau cov kev mob tshwm sim ntawm cov tshuaj tua kab mob, cov tshuaj tau sai sai daws cov teeb meem, txo qhov mob los ntawm thawj hnub ua haujlwm. Tab sis nws yuav tsum tau yug hauv siab tias kev siv tus kheej yog qhov tsis tuaj yeem tau txais. Cov tshuaj yuav tsum yog tus kws kho mob sau tseg!

Siv rau Augmentin EU hauv daim ntawv hmoov

Qhov ntau npaum li cas ntawm kev npaj Augmentin® EC yog tau ua tiav raws li lub hnub nyoog ntawm tus menyuam, qhov koob tshuaj tau muab suav rau hauv mg rau ib kg hauv ib hnub lossis ib ml ntawm qhov kev ncua kev ua tiav. Kev suav xam yog nqa tawm ntawm amoxicillin thiab clavulanic acid, tshwj tsis yog muaj teeb meem thaum noj tshuaj yog nqa tawm rau txhua qhov sib cais. Txo kom tsis txhob muaj teeb meem tshwm sim los ntawm kev mob plab hnyuv thiab ua kom zoo rau kev nqus, cov tshuaj yuav tsum noj qhov ncauj thaum pib noj mov. Txoj kev kho yuav tsum tsis txhob txuas ntxiv ntev dua 14 hnub yam tsis muaj tshuaj xyuas qhov xwm txheej kho mob.

Yog tias tsim nyog, nws muaj peev xwm los ua cov kauj ruam kho mob (thawj zaug, kev tswj hwm ntawm Augmentin® kev npaj rau hauv cov ntawv tshuaj yog cov hmoov rau kev npaj cov tshuaj rau kev tswj hwm, tom qab ntawd hloov mus rau Augmentin® npaj nyob rau hauv cov tshuaj noj ntawm qhov ncauj).

Augmentin® EU raug pom zoo rau cov menyuam hnub nyoog 3 hlis thiab laus dua. Tsis muaj kev paub dhau los ntawm kev siv Augmentin® EC hauv cov menyuam yaus txog 3 hlis. Qhov pom zoo rau txhua hnub yog 90 mg ntawm amoxicillin thiab 6.4 mg ntawm clavulanic acid rau 1 kg ntawm lub cev qhov hnyav, muab faib ua ob zaug txhua 12 teev, rau 10 hnub.

Rau cov neeg mob hnyav tshaj 40 kg, lwm cov tshuaj noj ntawm Augmentin® yog qhov pom zoo.

Raws li cov ntsiab lus ntawm clavulanic acid, Augmentin® EC txawv ntawm lwm cov kev ncua uas muaj amoxicillin thiab clavulanic acid. Augmentin® EC muaj 600 mg ntawm amoxicillin thiab 42.9 mg ntawm clavulanic acid nyob rau hauv 5 ml ntawm kev rov ua haujlwm rov qab, thaum npaj muaj 200 mg thiab 400 mg ntawm amoxicillin hauv 5 ml ntawm kev ncua kev kawm muaj 28.5 mg thiab 57 mg ntawm clavulanic acid, feem. hauv 5 ml ntawm kev ncua. Kev ncua ncua kev kawm npaj nrog qhov ntau npaum ntawm 200 mg ntawm amoxicillin hauv 5 ml, 400 mg ntawm amoxicillin hauv 5 ml thiab Augmentin® EC tsis hloov pauv.

Cov pab pawg neeg tshwj xeeb

Cov neeg mob uas lub raum tsis ua hauj lwm zoo

Tsis tas yuav muab kev kho kom haum yog tsim nyog rau kev tshem tawm creatinine> 30 ml / min.

Cov tshuaj yog contraindicated rau siv nyob rau hauv creatinine tshem tawm

Kev ntsuas rau siv

Cov kab mob kis tau los ntawm cov kab mob rhiab: txo qis ua pa ua pa (mob ntsws, mob ntsws, pleural empyema, mob ntsws ua paug), kis tus kab mob ENT kabmob (sinusitis, tonsillitis, otitis media), kis kab mob rau cov kab mob genitourinary thiab pelvic plab hnyuv (pyelonephritis, pyelitis, cystitis,) urethritis, prostatitis, cervicitis, salpingitis, salpingoophoritis, tubo-ovarian abscess, endometritis, kab mob vaginitis, septic rho menyuam, postpartum sepsis, pelvioperitonitis, mos chancre, gonorrhea), mob ntawm daim tawv nqaij thiab cov nqaij mos (erysipelas, impetigo, secondary) tab sis tus kab mob dermatoses, ua paug, cellulitis, mob kab mob), osteomyelitis, postoperative kab mob, kev tiv thaiv ntawm tus kab mob nyob rau hauv kev phais.

Dosage daim ntawv

coated ntsiav tshuaj, lyophilisate rau kev npaj ntawm kev daws rau kev tswj hwm tshuaj, hmoov rau kev npaj ntawm kev ncua rau kev tswj hwm ntawm qhov ncauj, ntsiav tshuaj, hmoov rau qhov kev npaj daws teeb meem rau kev tswj hwm tshuaj, cov ntsiav tshuaj dispersible

Yuav siv li cas: noj ntau thiab hom tshuaj kho

Cov koob tshuaj ntawm Augmentin EU tau muab rau hauv amoxicillin. Qhov ntau npaum li cas cov tshuaj yog teem ib lub zuj zus nyob ntawm qhov mob hnyav ntawm qhov kawm thiab qhov chaw kis tus kab mob, qhov rhiab ntawm cov kab mob.

Cov menyuam yaus hnub nyoog qis dua 12 xyoos - nyob rau hauv daim ntawv ntawm ncua kev kawm, kua pauj los yog tee rau kev tswj hwm qhov ncauj. Koob tshuaj ib zaug tau teem raws hnub nyoog: menyuam yaus txog 3 hlis - 30 mg / kg / hnub hauv 2 koob tshuaj faib, 3 hlis thiab laus dua - rau kev sib kis mob sib kis me - 25 mg / kg / hnub hauv 2 faib koob tshuaj lossis 20 mg / kg / hnub hauv 3 koob tshuaj, nrog cov mob hnyav - 45 mg / kg / hnub hauv 2 koob lossis 40 mg / kg / hnub hauv 3 koob.

Cov neeg laus thiab menyuam yaus hnub nyoog 12 xyoos lossis hnyav dua 40 kg lossis ntau dua: 500 mg 2 zaug / hnub lossis 250 mg 3 zaug / hnub. Hauv kev kis mob hnyav thiab mob ua pa - 875 mg 2 zaug / hnub lossis 500 mg 3 zaug / hnub.

Qhov koob tshuaj txhua hnub ntawm amoxicillin rau cov laus thiab cov menyuam hnub nyoog 12 xyoos yog 6 g, rau cov menyuam hnub nyoog qis dua 12 xyoos - 45 mg / kg lub cev hnyav.

Qhov siab tshaj plaws niaj hnub noj ntawm clavulanic acid rau cov laus thiab cov menyuam hnub nyoog dhau 12 xyoos yog 600 mg, rau cov menyuam hnub nyoog qis dua 12 xyoos - 10 mg / kg lub cev hnyav.

Nrog rau qhov teeb meem nyuaj nqos rau cov neeg laus, siv cov kev ncua raug pom zoo.

Thaum mob raum tsis ua haujlwm, qhov koob tshuaj thiab ntau zaus ntawm kev tswj hwm yog tswj hwm (kev tswj hwm ntawm LF npaj muaj tib cov tshuaj los ntawm lwm cov tuam txhab) nyob ntawm QC: nrog QC ntau dua 30 ml / min, tsis tas yuav txhaj tshuaj, nrog QC 10-30 ml / min: sab hauv - 250- 500 mg / hnub txhua 12 teev, nrog CC tsawg dua 10 ml / min - 1 g, tom qab ntawd 500 mg / hnub iv lossis 250-500 mg / hnub noj hauv ib zaug. Rau cov menyuam yaus, qhov tshuaj yuav tsum raug txo kom sib npaug.

Cov neeg mob ntawm hemodialysis - 250 mg lossis 500 mg ntawm Augmentin EC ntawm qhov ncauj hauv ib koob, ib koob tshuaj ntxiv 1 lub sijhawm ntxiv lim ntshav thiab lwm 1 koob tshuaj thaum xaus kev lim ntshav.

Pharmacological kev txiav txim

Kev npaj ua ke ntawm amoxicillin thiab clavulanic acid, beta-lactamase inhibitor. Nws ua cov kab mob bactericidal, inhibits kev sib txuas ntawm cov kab mob phab ntsa.

Nquag los tawm tsam cov kab mob aerobic gram (nrog rau cov kab mob beta-lactamase los ua cov leeg tawm): Staphylococcus aureus,

Cov kab mob aerobic gram-tsis zoo: Enterobacter spp., Escherichia coli, Haemophilus influenzae, Klebsiella spp., Moraxella catarrhalis.

Cov kab mob hauv qab no tsuas yog ua rau Augmentin EC hauv vitro: Staphylococcus epidermidis, Streptococcus pyogenes, Streptococcus anthracis, Streptococcus pneumoniae, Streptococcus viridans, Enterococcus faecalis, Corynebacterium spp., Listeria monococcocppocpes.

aerobic gram-cov kab mob tsis zoo (suav nrog beta-lactamase tsim cov kab mob): Proteus mirabilis, Proteus vulgaris, Salmonella spp., Shigella spp., Bordetella pertussis, Yersinia enterocolitica, Gardnerella vaginalis, Neisseria meningitidis, Neisseriaioriiferiferiferiferiferiferifer ), Campylobacter jejuni,

anaerobic gram-cov kab mob tsis zoo (nrog rau cov kab mob tawm los tsim cov beta-lactamases): Bacteroides spp., suav nrog Bacteroides fragilis.

Clavulanic acid nyob rau hauv Augmentin EC tswj hwm yam II, III, IV thiab V hom beta-lactamases, tsis muaj zog tiv thaiv hom I beta-lactamases, tsim los ntawm Pseudomonas aeruginosa, Serratia spp., Acinetobacter spp. Clavulanic acid muaj lub siab tropism rau penicillinases, vim tias nws tsim cov chaw ruaj khov nrog cov enzyme, uas tiv thaiv qhov enzymatic degradation ntawm amoxicillin nyob rau hauv kev cuam tshuam ntawm beta-lactamases.

Sab sij huam

Los ntawm lub plab zom mov: xeev siab, ntuav, raws plab, gastritis, stomatitis, glossitis, nce kev ua haujlwm ntawm "mob siab" transaminases, nyob rau qee yam mob - mob siab daj ntseg, mob siab, mob siab (feem ntau yog rau cov neeg laus, txiv neej, nrog kev kho mob ntev), pseudomembranous thiab hemorrhagic mob plab (tuaj yeem txhim kho tom qab kev kho), tus mob enterocolitis, tus nplaig "plaub" dub, tsaus ntawm txha hniav laus.

Hematopoietic plab hnyuv siab raum: ib qho kev hloov rov qab los ntawm prothrombin lub sijhawm thiab los ntshav, lub sijhawm thrombocytopenia, thrombocytosis, eosinophilia, leukopenia, agranulocytosis, hemolytic anemia.

Los ntawm lub paj hlwb: kiv taub hau, mob taub hau, hyperactivity, ntxhov siab vim, hloov tus cwj pwm, nriaj.

Cov tshuaj tiv thaiv hauv zos: qee kis, phlebitis ntawm qhov chaw ntawm iv txhaj.

Kev tsis haum tshuaj rau Augmentin EU Cheebtsam: urticaria, ua pob liab vog, tsis tshua pom tshwm - multiforme exudative erythema, anaphylactic shock, angioedema, tsis tshua muaj mob - exfoliative dermatitis, malignant exudative erythema (Stevens-Johnson syndrome), kev tsis haum tshuaj mob vasculitis, mob voos, vasculitis mob nyhav rau tus kab mob pustulosis.

Lwm yam: candidiasis, kev loj hlob ntawm superinfection, interstitial nephritis, crystalluria, hematuria.

Cov lus qhia tshwj xeeb

Nrog rau kev kho mob chav nrog Augmentin EU, nws yog ib qhov tsim nyog los saib xyuas lub xeev ntawm txoj haujlwm ntawm cov ntshav, daim siab thiab lub raum.

Txhawm rau kom txo qis kev phiv los ntawm kev mob plab hnyuv, cov tshuaj yuav tsum noj nrog pluas noj.

Nws muaj peev xwm los tsim superinfection vim kev loj hlob ntawm microflora tsis raug rau nws, uas yuav tsum muaj kev hloov pauv hauv kev siv tshuaj tua kab mob.

Tej zaum yuav muab cov txiaj ntsig tsis zoo hauv kev txiav txim siab cov piam thaj hauv cov zis. Hauv qhov no, nws raug nquahu kom siv cov txheej txheem glucose oxidant rau kev txiav txim siab cov ntsiab lus ntawm cov piam thaj hauv cov zis.

Tom qab kev nrawm, qhov kev ncua yuav tsum khaws cia tsis pub dhau 7 hnub hauv lub tub yees, tab sis tsis khov.

Hauv cov neeg mob uas muaj lub siab ntsws ua rau penicillins, hla kev tsis haum nrog tshuaj tua kab mob cephalosporin yog ua tau.

Cov kab mob ntawm kev loj hlob ntawm necrotizing colitis hauv cov menyuam tshiab thiab hauv cov poj niam cev xeeb tub nrog lub sijhawm ua ntej ntawm daim nyias nyias tau pom.

Kev sib txuam

Antacids, glucosamine, laxatives, aminoglycosides qeeb thiab txo qhov nqus ntawm Augmentin EC Cheebtsam, ascorbic acid ntxiv rau kev nqus.

Cov kab mob Bacteriostatic (macrolides, chloramphenicol, lincosamides, tetracyclines, sulfonamides) muaj cov nyhuv antagonistic.

Tsub kom muaj txiaj ntsig ntawm qhov tsis ncaj ntawm anticoagulants (suppressing lub plab hnyuv microflora, txo cov synthesis ntawm vitamin K thiab prothrombin index). Nrog rau kev tswj hwm tib lub sij hawm ntawm anticoagulants, nws yog ib qho tsim nyog los soj ntsuam cov ntsuas ntawm cov ntshav coagulability.

Txo qhov ua tau zoo ntawm kev tiv thaiv qhov ncauj, tshuaj, thaum lub cev zom zaub mov uas PABA tsim, ethinyl estradiol - txoj kev pheej hmoo ntawm los ntshav "ua kom tawg".

Diuretics, allopurinol, phenylbutazone, NSAIDs thiab lwm yam tshuaj thaiv cov hlab zais pa zais ua rau muaj kev cia siab ntawm amoxicillin nyob rau hauv kev muaj pes tsawg leeg ntawm Augmentin EC (clavulanic acid yog tsuas yog ua los ntawm glomerular pom).

Allopurinol ua rau muaj kev pheej hmoo ntawm kev tsim pob khaus tawv nqaij.

Cia Koj Saib